Iowa Physicians Clinic Medical Foundation

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

Practice address

1010 8TH Ave
Belle Plaine, IA 52208-1719

Phone

(319) 444-2840

Fax

(319) 444-3461

NPI assigned

May 5, 2006

Organization subpart

Yes

Parent organization

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATIONAs reported in NPPES

Name

Erick J Laine

Title

Coo

Phone

(515) 471-9227

Part of

Jeffrey Carandall MD

Locations

• Belle Plaine Family Medicine Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2012.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1154379725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 BIRCHWOOD CT",
            "address_2": "SUITE R",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312930",
            "telephone_number": "515-471-9243",
            "fax_number": "515-471-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 8TH AVE",
            "city": "BELLE PLAINE",
            "state": "IA",
            "postal_code": "522081719",
            "telephone_number": "319-444-2840",
            "fax_number": "319-444-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "LAINE",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "515-471-9227"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0638940",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belle Plaine Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eastern Iowa Therapeutics PC
• Angela Fults, DO
• Tawnya Rene Gardener, RPH
• Carrie Ella Gracey, PT
• Hartig Drug Co Corp
• Tad Louis Jacobi, DC
• Tara Lee Kannas, DPT
• Kingdom Dental Care
• Michelle M Malloy, ARNP
• MCLD Corporation

• All providers in Belle Plaine, IA
• Rural Health Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.